Individual
MRS. SUSILLA SARDA CORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Mailing address
1222 S ORANGE AVE, ORLANDO, FL 32806-1215
(321) 841-6444
(407) 650-1307
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11002667
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11002667
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103766300
—
FL
Enumeration date
06/26/2019
Last updated
09/27/2019
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